Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Palatka Center For Rehabilitation And Healing during CMS and state inspections, most recent first.
A resident with a PICC line in the upper arm was observed with a transparent dressing that had not been changed according to the expected weekly schedule. An LPN stated that PICC dressings are supposed to be changed weekly, while another LPN indicated that the RN supervisor usually performs all PICC dressing changes but was not present. The DON confirmed that weekly PICC dressing changes are required and are the responsibility of the nurse on the cart, and acknowledged that this resident’s dressing should have been changed. There was no physician order for PICC dressing changes, despite a facility policy stating that wound care is to follow current standards of practice with physician orders documented on the Treatment Administration Record.
A resident had a physician order for daily abdominal staple wound care with normal saline and a dry dressing on the day shift, but the Treatment Administration Record lacked documentation that the ordered wound care was completed on several days. One LPN reported that dressings were changed when the resident was cared for but admitted forgetting to document on specific days, and another LPN could not recall whether the dressing was changed on one of the missing dates. This resulted in an incomplete medical record that did not accurately reflect the resident’s wound care as required by facility policy.
A resident receiving IV antibiotic therapy for a wound infection did not receive care under required enhanced barrier precautions. During a PICC line dressing change, an LPN did not wear a gown, despite the resident’s care plan directing use of enhanced barrier precautions per facility policy. The DON stated the resident should have been on enhanced barrier precautions due to the IV and wound, and that a gown should have been worn. Facility policy requires gown and glove use for high-contact care activities, including central line and wound care.
The facility failed to provide a rationale for not following pharmacy recommendations for three residents, involving medications like Oxybutynin, Gabapentin, and Rivaroxaban. Despite the pharmacist's advice to adjust or discontinue these medications due to risks like falls, the physician disagreed without justification, contrary to facility policy.
A resident with hemiplegia and other medical conditions was observed with a splint on one hand and a non-skid sock on the other, without proper authorization or documentation. Staff interviews indicated the sock's use was approved by the resident's daughter, but the facility's administrator stated it should not have been used. The facility's policy prohibits physical restraints without consent, highlighting a deficiency in policy adherence.
The facility failed to ensure accurate MDS assessments for two residents. One resident, with acute respiratory failure, was incorrectly documented as not receiving prescribed oxygen therapy. Another resident was inaccurately recorded as receiving insulin injections, despite no physician order, administration record, or diabetes diagnosis.
The facility failed to create comprehensive care plans for two residents, one with depression and behavioral issues and another with a UTI. The interdisciplinary team did not address the specific needs related to these conditions, as confirmed by the DON and Administrator.
The facility failed to administer blood pressure medication according to prescribed parameters for two residents, leading to administration errors. Additionally, a resident was left unsupervised with medication, contrary to professional standards. The DON confirmed the need for adherence to medication parameters and supervision during administration.
Two residents in the facility did not receive oxygen therapy as prescribed. One resident was observed with incorrect oxygen flow rates and without oxygen during certain activities, despite having a continuous oxygen order. Another resident received oxygen at a higher rate than prescribed. Staff interviews confirmed the discrepancies, and the facility's policy on oxygen administration was not adhered to.
A resident with chronic kidney disease was unnecessarily prescribed Sulfamethoxazole-Trimethoprim for prophylaxis without conducting a urinalysis or culture and sensitivity test to confirm a UTI. Facility staff, including the DON, APRN, and Medical Director, acknowledged the failure to follow the antibiotic stewardship policy, which requires appropriate testing before prescribing antibiotics.
Unsecured medications were found in the rooms of three residents, none of whom had self-administration orders or care plan documentation for medication self-administration. The DON confirmed that self-administration assessments were not completed, and the facility's policy requires medications to be stored in locked compartments accessible only to authorized personnel.
The facility failed to maintain proper infection control practices, as staff did not perform hand hygiene during medication administration for two residents. Additionally, respiratory equipment for two residents was not stored in bags when not in use, contrary to facility policy. Staff acknowledged these lapses, which were observed during a survey.
A resident with chronic kidney disease was prescribed antibiotics for a UTI without a urinalysis being conducted, contrary to the facility's antibiotic stewardship policy. Staff interviews revealed that antibiotics were administered without confirming a UTI through lab tests, and the facility's policy requiring diagnostic evidence before prescribing antibiotics was not followed.
The facility failed to maintain fire/smoke doors, which were found with chips, holes, and missing corners, compromising their fire protection rating. The damage was attributed to lifts and carts, as confirmed by the maintenance team. This deficiency was discussed with the facility's administration during the exit conference.
The facility failed to properly store portable oxygen cylinders, as they were found unlabeled in the soiled utility room, leading to potential confusion and delays in accessing full cylinders. Staff were unaware of this issue, indicating a lapse in oversight.
Two residents received incontinence care without proper infection control practices. A CNA did not perform hand hygiene or change gloves after applying barrier cream to a resident with multiple diagnoses, including a fracture and COPD. Another CNA failed to change gloves after peri-care before handling clean linens for a resident with conditions like acute embolism and diabetes. Both CNAs acknowledged the lapses, which violated the facility's hand hygiene and perineal care policies.
The facility failed to maintain a clean and homelike environment in one wing, with items such as blankets, cups, and gloves found on the floors of residents' rooms and bathrooms. Housekeeping services were limited to daytime hours, leaving CNAs responsible for cleaning during other shifts. The Director of Nursing confirmed these findings.
A resident with multiple health issues, including a MRSA infection and risk of falls, did not have a comprehensive care plan implemented. Observations showed missing fall mats, and the care plan lacked focus on contact isolation precautions, contrary to physician orders. This indicates a failure in meeting the resident's needs as per facility policy.
A facility failed to ensure staff used appropriate PPE for a resident on contact precautions due to MRSA. An LPN was observed in the resident's room without gloves or a gown while preparing food, contrary to the facility's policy and room signage. The resident had multiple diagnoses, including MRSA, and was under contact isolation. The DON confirmed the requirement for PPE, but the LPN did not comply.
Failure to Perform Timely PICC Line Dressing Changes per Standards of Practice
Penalty
Summary
The deficiency involves the facility’s failure to ensure safe and appropriate administration of IV therapy by not performing Peripherally Inserted Central Catheter (PICC) dressing changes according to professional standards for one resident. During observation, the resident was noted to have a PICC line in the right upper arm with a transparent dressing dated 2/11, indicating it had not been changed weekly as required. An LPN stated that PICC dressings are supposed to be changed weekly, believed to be on Saturdays, and another LPN reported that the RN supervisor typically changes all PICC dressings but was not present that day. The Director of Nursing confirmed that PICC dressings should be changed every week and that it is the responsibility of the nurse on the cart, acknowledging that this resident’s dressing should have been changed and that there was no physician order for PICC dressing changes. Review of the facility’s skin and wound management policy showed that wound care is to be managed based on current standards of practice, with a physician order documented on the Treatment Administration Record when skin impairment is identified, but no such order existed for this resident’s PICC dressing care. These findings demonstrate that the facility did not follow its own policy and professional standards regarding PICC line dressing changes and lacked appropriate physician orders for this aspect of the resident’s IV therapy care.
Failure to Accurately Document Ordered Wound Care Treatments
Penalty
Summary
The facility failed to ensure complete and accurate documentation of wound care treatments in the medical record for one resident. Resident #1 had a physician’s order dated 01/17/2026 for daily abdominal staple wound care with normal saline, pat dry, and application of a dry dressing on the day shift through 01/26/2026. Review of the Treatment Administration Record showed no documentation that the ordered abdominal wound care was completed on 01/18/2026, 01/19/2026, or 01/23/2026. In interview, one LPN stated she changed the resident’s abdominal dressing whenever she cared for the resident but acknowledged she must have forgotten to document the dressing changes on 01/18 and 01/23, while another LPN could not recall whether the dressing was changed on 01/19. The facility’s documentation policy requires clinical staff to document care and services in a manner that accurately reflects the clinical care provided and provides a complete account of the resident’s care, treatment, and response.
Failure to Use Enhanced Barrier Precautions During PICC Line Dressing Change
Penalty
Summary
The facility failed to implement its infection prevention and control program by not using enhanced barrier precautions during intravenous therapy care for Resident #2. On 02/27/2026 at 10:32 AM, an LPN was observed changing Resident #2’s PICC line dressing without wearing a gown. Resident #2 had an IV for antibiotic medications related to a wound infection, and the resident’s care plan dated 02/02/2026 specified that enhanced barrier precautions were to be provided per facility policy. The Director of Nursing stated that Resident #2 should be on enhanced barrier precautions due to the IV and wound, and that the LPN should have worn a gown, while also noting that there was no order for enhanced barrier precautions. The LPN reported not thinking a gown was needed to change a PICC line dressing. Review of the facility’s Enhanced Barrier Precautions policy showed that gown and glove use is required for high-contact resident care activities, including device care such as central lines and wound care for any skin opening requiring a dressing.
Failure to Provide Rationale for Disagreement with Pharmacy Recommendations
Penalty
Summary
The facility failed to provide a rationale when actions were not taken for pharmacy recommendations for three residents reviewed for unnecessary medication. For Resident #7, the consultant pharmacist recommended tapering or discontinuing Oxybutynin and Hydrocodone/APAP due to increased fall risk, but the physician disagreed without providing a rationale. The facility's policy requires that each resident's drug regimen be managed to promote their highest practicable wellbeing, yet the physician's responses lacked the necessary justification. Resident #84 was receiving Gabapentin and Guaifenesin without a stop date, both of which were flagged by the pharmacist for potential risks and lack of necessity. The physician disagreed with the pharmacist's recommendations to taper or add a stop date without providing a rationale. The Director of Nursing confirmed that the provider should document a reason for disagreement, but this was not done, indicating a failure to adhere to the facility's policy on drug regimen management. For Resident #99, multiple pharmacist recommendations were made regarding the timing and dosage of medications such as Rivaroxaban, Methotrexate, and Lorazepam, as well as the use of Duloxetine with a low creatinine clearance level. In each case, the physician disagreed with the recommendations without providing a rationale. Interviews with the Director of Nursing revealed that while the recommendations were reviewed, the required rationale for disagreement was not documented, which is contrary to the facility's policy aimed at ensuring residents' wellbeing.
Improper Use of Physical Restraint on Resident
Penalty
Summary
The facility failed to ensure that a resident was free from the use of physical restraints, as evidenced by the use of a non-skid sock on the resident's hand without proper authorization or documentation. The resident, who was admitted with medical diagnoses including hemiplegia, hemiparesis, cognitive communication deficit, and contracture of the left hand, was observed on multiple occasions with a splint on her left hand and a non-skid sock on her right hand. These observations were made over several days, and there were no physician orders or consent forms authorizing the use of such devices as restraints. Interviews with staff revealed that the use of the sock was either requested or approved by the resident's daughter, but the facility's administrator confirmed that the resident should not have had a sock on her hand. The facility's policy on physical restraints clearly states that no physical restraint should be imposed on any resident for discipline or convenience, and defines physical restraints as any device that restricts freedom of movement or normal access to one's body. The lack of proper documentation and consent for the use of the sock as a restraint indicates a deficiency in the facility's adherence to its own policies and procedures regarding the use of physical restraints.
Inaccurate MDS Assessments for Oxygen Therapy and Insulin
Penalty
Summary
The facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for two residents. Resident #4, who was admitted with acute respiratory failure with hypoxia, heart failure, type 2 diabetes, and acute posthemorrhagic anemia, had a physician's order for continuous oxygen therapy at 3 liters per minute via nasal cannula. However, the MDS assessment dated 12/24/2024 incorrectly indicated that the resident was not receiving oxygen therapy. Additionally, Resident #143's MDS assessment dated 11/25/2024 inaccurately documented that the resident received insulin injections over the last seven days, despite the absence of a physician's order for insulin, no insulin administration recorded in the Medication Administration Record for November 2024, and no diagnosis of Diabetes Mellitus.
Failure to Develop Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for two residents, leading to deficiencies in addressing their specific medical needs. Resident #21, who has a history of depression, dementia, and insomnia, did not have a care plan that addressed potential behaviors related to these diagnoses. Despite documented instances of the resident refusing care, such as showers and lab tests, and being on psychiatric medications, the interdisciplinary team did not create a care plan focusing on these behaviors or the resident's use of antidepressants. The Director of Nursing acknowledged that a care plan should have been initiated to address these issues. Similarly, Resident #44, who was diagnosed with a urinary tract infection (UTI), did not have a care plan that included the UTI diagnosis or the prescribed antibiotic therapy. The resident was ordered Macrobid for the UTI, but the interdisciplinary team failed to document a care plan for this condition or the associated treatment. The facility's Administrator confirmed that the team was responsible for identifying and care planning for the UTI and antibiotic therapy, which was not done.
Medication Administration Errors and Lack of Supervision
Penalty
Summary
The facility failed to administer blood pressure medication according to the prescribed parameters for two residents. Resident #103 was given Metoprolol Tartrate despite having systolic blood pressure readings below the prescribed threshold of 120 on multiple occasions in January and February 2025. The Director of Nursing acknowledged that the medication was administered outside of the parameters and emphasized the need for staff to follow the provider's orders and seek clarification if needed. The Medical Director confirmed that there were no adverse medical issues resulting from this administration error. Resident #143 received Midodrine despite having systolic blood pressure readings above the prescribed threshold of 110. The medication was administered on several occasions in January and February 2025 when the blood pressure readings were higher than the specified limit. The Director of Nursing stated that nurses are expected to administer medication according to the parameters and seek clarification from the physician if needed. It was noted that the medication order for Resident #143 was a transcription error, which should have indicated holding the medication for systolic blood pressure greater than 130. Additionally, the facility failed to follow professional standards of practice during medication administration for Resident #456. The resident was found holding a medication cup with tablets and a capsule without a nurse present in the room. The nurse was attending to a computer screen outside the room, contrary to the expectation that nurses should observe residents taking their medications. The Director of Nursing confirmed that the nurse should have stayed in the room until the resident had taken the administered medications.
Failure to Administer Oxygen Therapy as Prescribed
Penalty
Summary
The facility staff failed to administer oxygen therapy according to professional standards for two residents. Resident #8 was observed on multiple occasions with incorrect oxygen flow rates. On one occasion, the resident was seen at the nurse's station without any oxygen therapy, despite having a physician's order for continuous oxygen at 2 liters per minute (LPM) via nasal cannula for shortness of breath. Interviews with staff revealed a lack of adherence to the prescribed oxygen flow rate, with the Director of Nursing stating that residents should be kept on the prescribed flow at all times, and the Activities Assistant confirming that the resident was not on oxygen during certain activities. Similarly, Resident #125 was observed receiving oxygen at 3 LPM, contrary to the physician's order of 2 LPM via nasal cannula. The resident mentioned that the nurse had changed the flow rate and tubing, but they did not adjust the machine themselves. A registered nurse confirmed the incorrect flow rate and adjusted it after checking the resident's orders. The Director of Nursing emphasized the importance of monitoring and maintaining the correct flow rate. The facility's policy on oxygen administration specifies that oxygen should be started at the prescribed rate, which was not followed in these cases.
Failure to Adhere to Antibiotic Stewardship Policy
Penalty
Summary
The facility failed to ensure that a resident's medication regimen was free from unnecessary antibiotic use, specifically concerning the administration of Sulfamethoxazole-Trimethoprim (Bactrim DS) for prophylaxis. The resident, who had a diagnosis of chronic kidney disease stage 4, was prescribed Bactrim DS for seven days following a report of painful urination. However, there was no urinalysis (UA) or culture and sensitivity (C&S) test conducted to confirm the presence of a urinary tract infection (UTI) before the antibiotics were administered. The facility's policy on antibiotic stewardship, which requires a complete assessment and appropriate testing before prescribing antibiotics, was not followed in this case. Interviews with the facility's staff, including the Director of Nursing, Advanced Practice Registered Nurse, Infection Preventionist, and Medical Director, revealed a lack of adherence to the facility's antibiotic stewardship policy. The staff acknowledged that antibiotics were started without obtaining a UA, and the Medical Director admitted to ordering the antibiotics without ordering labs. The Infection Preventionist noted that the facility's policy was not followed, and the antibiotics should have been discontinued if the UA was negative. This oversight in following the established protocol for antibiotic use led to the unnecessary administration of antibiotics to the resident.
Unsecured Medications Found in Resident Rooms
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored in accordance with professional standards, as unsecured medications were observed in resident rooms. During observations, a bottle of Fluticasone Propionate Lotion was found on a bedside table of a resident who did not have a self-administration order or care plan focus for medication self-administration. Similarly, a circular white tablet was found in a medication cup on another resident's bedside table, and four circular white tablets were found on a third resident's bedside table. None of these residents had physician orders or care plans documenting a focus for medication self-administration. The Director of Nursing acknowledged that self-administration assessments were not completed for the residents involved and stated that nursing staff should remain with residents to ensure medication is taken and not left unattended. The facility's policy requires that all medications, except for Emergency Drug Kits, be stored in a locked cabinet, cart, or medication room accessible only to authorized personnel. This policy was not adhered to, leading to the observed deficiencies.
Infection Control and Equipment Storage Deficiencies
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by multiple instances of non-compliance with hand hygiene protocols during medication administration. Specifically, a Registered Nurse (RN) was observed administering intravenous medication to a resident without performing hand hygiene before donning gloves or after removing them. Similarly, a Licensed Practical Nurse (LPN) was seen preparing and administering oral medications to another resident without using hand hygiene. Both staff members acknowledged their failure to adhere to the facility's hand hygiene policy, which emphasizes hand hygiene as the primary means to prevent infection spread. Additionally, the facility did not adhere to acceptable standards for storing respiratory care equipment. Observations revealed that nebulizer masks and nasal cannulas were not stored in bags when not in use, contrary to the facility's policy. This was noted in the cases of two residents, where respiratory equipment was left exposed on bedside tables or floors. Interviews with nursing staff and the Director of Nursing confirmed that such equipment should be bagged when not in use to prevent nosocomial infections, as outlined in the facility's respiratory therapy equipment policy.
Failure to Implement Antibiotic Stewardship Protocol
Penalty
Summary
The facility failed to implement its antibiotic stewardship protocol by not adequately monitoring the use of antibiotics for a resident with a urinary tract infection (UTI). The resident, who had a diagnosis of chronic kidney disease stage 4, was prescribed Bactrim DS for prophylaxis without a urinalysis (UA) being conducted to confirm the presence of a UTI. The medication administration record showed that the resident received 13 doses of the antibiotic over a period of seven days. Interviews with facility staff revealed a lack of adherence to the facility's antibiotic stewardship policy. The Director of Nursing acknowledged that a UA should have been collected, and the Advanced Practice Registered Nurse admitted to an oversight in not ordering the UA. The Infection Preventionist and Medical Director both indicated that antibiotics were started without confirming a UTI through laboratory tests, which is contrary to the facility's policy that emphasizes the need for a UA and culture and sensitivity (C&S) before starting antibiotics. The facility's policy on antibiotic stewardship and clinical protocol for UTIs were not followed, as antibiotics were prescribed and administered without complete diagnostic evidence. The policy requires that antibiotics be prescribed with a clear indication of use, including a start and stop date, and that treatment decisions be based on clinical signs and symptoms. The failure to conduct a UA and C&S before administering antibiotics led to a breach in the facility's protocol, as confirmed by staff interviews and record reviews.
Facility Fails to Maintain Fire/Smoke Doors
Penalty
Summary
The facility failed to maintain the integrity of fire/smoke doors, which are crucial for resisting the passage of smoke and providing fire protection. During a facility tour, it was observed that the fire/smoke doors had chips and holes, with some doors missing entire corners, allowing visibility into the next room. This condition compromises the fire protection rating of the doors, as the exposed door cores provide less fire resistance than required. The issue was confirmed during an interview with the Regional Maintenance Director, Maintenance Director, and Assistant Maintenance Director, who acknowledged that the damage was caused by lifts and carts frequently tearing up the doors. These findings were discussed with the facility's administration and maintenance team during the exit conference, highlighting the facility's failure to maintain the required standards for fire/smoke doors as per NFPA 101 and NFPA 80 regulations.
Improper Storage of Oxygen Cylinders
Penalty
Summary
The facility failed to maintain proper storage of portable oxygen cylinders, specifically E Cylinders, as observed during a facility tour. The cylinders were found in various areas of the soiled utility room without appropriate labeling to distinguish between full and empty cylinders. This lack of labeling could lead to confusion and delays in accessing a full cylinder when needed urgently. During interviews with the Regional Maintenance Director, Maintenance Director, and Assistant Maintenance Director, it was revealed that they were unaware of the improper storage practices. The findings were confirmed by these staff members, indicating a lapse in oversight and adherence to the NFPA 99 (2012 Edition) standards, specifically CH 11.6.5.3, which requires empty cylinders to be marked to avoid confusion.
Infection Control Lapses During Incontinence Care
Penalty
Summary
The facility failed to adhere to infection control practice standards during incontinence care for two residents. Resident #5, who has multiple diagnoses including a displaced intertrochanteric fracture and chronic obstructive pulmonary disease, was observed receiving incontinence care from a CNA who did not perform hand hygiene before donning gloves. The CNA removed the soiled brief, applied barrier cream, and placed a clean brief and under pad on the resident without changing the soiled gloves. The CNA acknowledged the mistake during an interview, stating that handwashing and glove changing should have occurred after applying the barrier cream. Similarly, Resident #6, with diagnoses such as acute embolism and type 2 diabetes mellitus, was also subject to improper infection control practices. During incontinence care, another CNA failed to change gloves after performing peri-care and before handling clean linens. The CNA admitted to not following proper infection control procedures, which included changing gloves and washing hands after completing peri-care. The facility's policies on perineal care and hand hygiene emphasize the importance of handwashing and glove changing to prevent infections, which were not adhered to in these instances.
Failure to Maintain a Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean and homelike environment in one of its wings, as observed during a facility tour. Specific deficiencies included a blanket on the floor near the window and a plastic cup under the bedside table in a resident's room, a medication cup on the floor in another resident's room, and a plastic cup and blue glove on the bathroom floor shared by two residents. Additionally, there was a dried brown substance on the toilet and a towel on the floor under the sink in another resident's room. Interviews with staff revealed that housekeeping services were only available during the day shift, leaving CNAs responsible for cleaning during other shifts. The Director of Nursing confirmed these findings.
Failure to Implement Comprehensive Care Plans
Penalty
Summary
The facility failed to develop and implement comprehensive person-centered care plans for a resident, leading to deficiencies in care. The resident, who was admitted with multiple diagnoses including a dislocated hip, chronic ulcers, and a MRSA infection, was identified as being at risk for falls. Despite this, observations revealed that fall mats, which were part of the resident's care plan interventions, were not present by the resident's bed. This was confirmed by a Licensed Practical Nurse during an observation and interview, indicating a failure to implement the care plan interventions. Additionally, the resident was under contact isolation precautions due to a MRSA infection, as per a physician's order. However, the care plan did not include a focus on contact isolation precautions, which was verified by the Director of Nursing. The facility's policy on person-centered care planning requires that care plans be individualized and comprehensive, addressing the resident's medical, nursing, and psychosocial needs. The absence of these critical elements in the care plan highlights a deficiency in meeting the resident's needs.
Failure to Use PPE for Resident on Contact Precautions
Penalty
Summary
The facility failed to ensure that staff used appropriate personal protective equipment (PPE) while providing direct care to residents on contact precautions, specifically for a resident with a Methicillin-Resistant Staphylococcus Aureus (MRSA) infection. During an observation, a Licensed Practical Nurse (LPN) was seen in the resident's room without wearing gloves or a gown while preparing food, despite clear signage indicating the need for such precautions. The signage instructed everyone to clean their hands before entering and upon leaving the room, and for providers and staff to wear gloves and a gown before room entry and discard them before room exit. The resident involved had multiple diagnoses, including a MRSA infection, and was under contact isolation precautions as per a physician's order. The facility's policy on transmission-based precautions, revised in September 2022, required staff and visitors to wear gloves and a disposable gown upon entering the room. The Director of Nursing confirmed that staff are supposed to follow these precautions when residents are on specific isolation. However, the LPN admitted to not wearing the required PPE, stating it was only necessary when providing direct care, despite the resident's MRSA status.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 14 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Palatka
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Radiant Nursing And Rehab At Palatka | 1.8 mi | ★★★★★ | 1 | 0 |
| The Pavilion At Crescent Lake | 18.7 mi | ★★★★★ | 13 | 0 |
| Aviata At Green Cove Springs | 23.4 mi | ★★★★★ | 0 | 0 |
| Pavilion For Health Care, The | 23.8 mi | ★★★★★ | 0 | 0 |
| Moultrie Creek Nursing And Rehab Center | 24.8 mi | ★★★★★ | 0 | 0 |
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